Nandita Puchakayala, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A138716 Issued in CA

Practice address

12555 Central Ave Ste C
Chino, CA 91710-3569

Phone

(909) 902-1082

NPI assigned

Mar 26, 2013

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Nandita Kunam Former name

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Inland Psychiatric Medical Group IncGroup PAC ID 9436062312, 119 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 26)

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Inland Psychiatric Medical Group, Inc.

  • Psychiatry Physician
  • Redlands, CA
  • NPI 1649217761
  Medicare reassignment Care Compare group NPD
• Indio Behavioral Hospital, LLC

  • Psychiatric Hospital
  • Indio, CA
  • NPI 1902529209
  Medicare reassignment NPD
• Golden Valley Health Centers

  • Federally Qualified Health Center (FQHC)
  • Turlock, CA
  • NPI 1356445753
  Medicare reassignment
• Golden Valley Health Centers

  • Community/Retail Pharmacy
  • Merced, CA
  • NPI 1093817405
  NPD
• Golden Valley Health Centers

  • Federally Qualified Health Center (FQHC)
  • Empire, CA
  • NPI 1326493115
  NPD
• Inland Psychiatric Medical Group, Inc.

  • Psychiatry Physician
  • Redlands, CA
  • NPI 1336977990
  NPD
• Inland Psychiatric Medical Group, Inc.

  • Psychiatry Physician
  • Lake Forest, CA
  • NPI 1346774445
  NPD
• Cajon Medical Group PC

  • Internal Medicine Physician
  • Redlands, CA
  • NPI 1326547183
  NPD (past)
• Cajon Medical Group, PC

  • Internal Medicine Physician
  • Temecula, CA
  • NPI 1245118082
  NPD (past)
• Inland Psychiatric Medical Group Inc

  • Psychiatry Physician
  • Upland, CA
  • NPI 1821779505
  NPD (past)
• Pomona Valley Hospital Medical Center

  • General Acute Care Hospital
  • Pomona, CA
  • NPI 1518067586
  NPD (past)
• Redlands Community Hospital

  • General Acute Care Hospital
  • Redlands, CA
  • NPI 1043354111
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1364256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575417600000",
    "number": "1720320989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1809 W REDLANDS BLVD",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923738054",
            "telephone_number": "909-335-3026",
            "fax_number": "909-335-3167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12555 CENTRAL AVE STE C",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917103569",
            "telephone_number": "909-902-1082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUCHAKAYALA",
        "first_name": "NANDITA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-26",
        "last_updated": "2019-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A138716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANDITA",
            "last_name": "KUNAM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Professional Nurses Group, Inc.
• Professional Nurses Group, Inc.
• Prohealth Logistics
• Prohealth Partners a Medical Group Inc
• Prototypes Womens Center Outpatient
• Linda Thai Pungpravat, PHARMD.
• Qihuang Herbs Group Inc
• Alan Quach, MD
• Quest Health Management Psychological Corporation
• Quest Health Management, Psychological Corporation

• Psychiatry Physician in Chino, CA
• Providers in Chino, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.